LANA MALKOVICH (NPI# 1194877233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194877233 |
| Entity Type | Individual |
| Full Name | LANA MALKOVICH |
| Credential | PHARMACY TECHNICIAN |
| Practice Address |
Rea Clinic Pharmacy 4241 Highway 14 West Christopher IL 62822 |
| Mailing Address |
Rea Clinic Po Box 155 Christopher IL 62822 |
| Practice Telephone | 6187242136 |
| Practice Fax Number | 6187242571 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187242511 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | IL | Pharmacy Service Providers |
| Street Address |
REA CLINIC PHARMACY 4241 HIGHWAY 14 WEST |
| City | CHRISTOPHER |
| State | IL |
| Zip Code | 62822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253928 | Ability Home Health and Rehab LLC | Home Health | 4343 Il-14, Christopher, IL 62822 | 2019-09-11 |
| 1184954240 | Arthur Lee Basso | Dentist | 212 W. Ernestine Ave., Christopher, IL 62822 | 2010-01-12 |
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1174715650 | Ultimate Therapeutic Solutions, LLC | Clinic/Center | 4343 State Highway 14, Christopher, IL 62822 | 2007-08-17 |
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1780749812 | Kirks Pharmacy | Pharmacy | 114 West Market Street, Christopher, IL 62822 | 2006-12-27 |
| 1841359924 | James Kirkpatrick | Pharmacist | 114 West Market St, Christopher, IL 62822 | 2006-12-06 |
| 1336240571 | Shari Renee Jones | Registered Nurse | Rea Clinic, 4241 Highway 14 West, Christopher, IL 62822 | 2006-09-26 |
| 1902907074 | Tressa Dawn Furlow | Registered Nurse | 4241 Highway 14 West, Rea Clinic, Christopher, IL 62822 | 2006-09-25 |
| Find all providers in zip 62822 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 1669407011 | Gloria J Jenkins | Pharmacy Technician | 4241 Hwy 14w, Rea Clinic Pharmacy, Christopher, IL 62822 | 2006-07-12 |
| 1174139372 | Melanie Hooker | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2020-09-22 |
| 1124664875 | Brandi Finger | Pharmacy Technician | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2019-11-18 |
| 1245892371 | Olivia B Montgomery | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-06-28 |
| 1598325334 | Whitney Phillips | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-06-14 |
| 1003376294 | Jenette Webb | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2019-03-22 |
| 1164934089 | Justis Tinsley | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2017-11-01 |
| 1306207782 | Stephanie Kay Tregoning | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2016-03-14 |
| 1528429008 | Megan Farmer | Pharmacy Technician | 4241 Highway 14 W, Christopher, IL 62822-1037 | 2016-03-11 |
| Find all providers in CHRISTOPHER | ||||
| City | CHRISTOPHER |
| Zip Code | 62822 |
Please comment or provide details below to improve the information on LANA MALKOVICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.